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Financial Information for the Company and Its Subsidiaries
9 Months Ended
Sep. 30, 2016
Condensed Financial Information of Parent Company Only Disclosure [Abstract]  
Financial Information for the Company and Its Subsidiaries
Financial Information for the Company and Its Subsidiaries

The 2020 Senior Unsecured Notes and 2022 Senior Unsecured Notes are senior unsecured obligations of the Company and are guaranteed by its existing and subsequently acquired or organized 100% owned domestic subsidiaries. The 2020 Senior Unsecured Notes and 2022 Senior Unsecured Notes are guaranteed on a full and unconditional and joint and several basis, with limited exceptions considered customary for such guarantees, including the release of the guarantee when a subsidiary's assets are sold. The following condensed consolidating financial statements present the Company (as parent issuer), the subsidiary guarantors, the subsidiary non-guarantors and consolidating adjustments. These condensed consolidating financial statements have been prepared and presented in accordance with Rule 3-10 of Regulation S-X “Financial Statements of Guarantors and Issuers of Guaranteed Securities Registered or Being Registered.” The operating and investing activities of the separate legal entities are fully interdependent and integrated. Accordingly, the results of the separate legal entities are not representative of what the operating results would be on a stand-alone basis.
Condensed Consolidating Balance Sheet - September 30, 2016 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
3,858

 
$
7,287

 
$
94,913

 
$

 
$
106,058

Restricted cash and marketable securities

 

 
12,794

 

 
12,794

Accounts receivable, net

 
277,535

 
148,145

 
(785
)
 
424,895

Supplies inventory

 

 
22,505

 

 
22,505

Prepaid and other current assets
33,733

 
27,826

 
15,919

 
(13,024
)
 
64,454

Total current assets
37,591

 
312,648

 
294,276

 
(13,809
)
 
630,706

Property and equipment, net
11,740

 
36,855

 
178,618

 

 
227,213

Investments in and receivables from unconsolidated affiliates
5,282,324

 
1,754,313

 

 
(6,925,631
)
 
111,006

Goodwill

 
2,225,411

 

 
2,074,691

 
4,300,102

Intangible assets, net
12,967

 
1,664,170

 
1,790

 

 
1,678,927

Other assets
6,828

 
22,558

 
21,597

 
(1,998
)
 
48,985

Total assets
$
5,351,450

 
$
6,015,955

 
$
496,281

 
$
(4,866,747
)
 
$
6,996,939

Liabilities and Equity
 

 
 

 
 

 
 

 
 

Current liabilities:
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
$
8,700

 
$
20

 
$
13,300

 
$

 
$
22,020

Accounts payable
1,751

 
1,877

 
27,252

 
(3,689
)
 
27,191

Accrued salaries and benefits
33,789

 
156,180

 
23,329

 

 
213,298

Accrued interest
18,565

 

 
12

 

 
18,577

Other accrued liabilities
12,563

 
43,242

 
55,940

 
(10,120
)
 
101,625

Total current liabilities
75,368

 
201,319

 
119,833

 
(13,809
)
 
382,711

Long-term debt
2,550,961

 
30

 
69,922

 
(29,018
)
 
2,591,895

Deferred income taxes
297,788

 
464,714

 

 
(1,998
)
 
760,504

Other long-term liabilities
7,613

 
98,324

 
23,960

 

 
129,897

Intercompany payable

 
1,228,157

 

 
(1,228,157
)
 

Noncontrolling interests – redeemable

 

 
60,908

 
116,969

 
177,877

Equity:
 
 
 
 
 
 
 
 


Total AmSurg Corp. equity
2,419,720

 
4,023,411

 
128,483

 
(4,151,894
)
 
2,419,720

Noncontrolling interests – non-redeemable

 

 
93,175

 
441,160

 
534,335

Total equity
2,419,720

 
4,023,411

 
221,658

 
(3,710,734
)
 
2,954,055

Total liabilities and equity
$
5,351,450

 
$
6,015,955

 
$
496,281

 
$
(4,866,747
)
 
$
6,996,939

Condensed Consolidating Balance Sheet - December 31, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
20,437

 
$
27,507

 
$
58,716

 
$

 
$
106,660

Restricted cash and marketable securities

 

 
13,506

 

 
13,506

Accounts receivable, net

 
223,434

 
113,896

 

 
337,330

Supplies inventory

 

 
21,406

 

 
21,406

Prepaid and other current assets
28,739

 
39,046

 
16,062

 
(8,076
)
 
75,771

Total current assets
49,176

 
289,987

 
223,586

 
(8,076
)
 
554,673

Property and equipment, net
12,515

 
14,601

 
162,052

 

 
189,168

Investments in and receivables from unconsolidated affiliates
4,901,026

 
1,775,272

 

 
(6,507,128
)
 
169,170

Goodwill

 
1,956,741

 

 
2,013,469

 
3,970,210

Intangible assets, net
12,780

 
1,579,537

 
2,320

 

 
1,594,637

Other assets
4,653

 
1,717

 
17,078

 
(1,998
)
 
21,450

Total assets
$
4,980,150

 
$
5,617,855

 
$
405,036

 
$
(4,503,733
)
 
$
6,499,308

Liabilities and Equity
 

 
 

 
 

 
 

 
 

Current liabilities:
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
$
8,700

 
$

 
$
11,677

 
$

 
$
20,377

Accounts payable
2,816

 
3,760

 
29,837

 
(3,852
)
 
32,561

Accrued salaries and benefits
31,510

 
158,705

 
12,322

 

 
202,537

Accrued interest
30,463

 

 
17

 

 
30,480

Other accrued liabilities
13,962

 
76,590

 
32,909

 
(4,224
)
 
119,237

Total current liabilities
87,451

 
239,055

 
86,762

 
(8,076
)
 
405,192

Long-term debt
2,326,103

 

 
55,249

 
(23,396
)
 
2,357,956

Deferred income taxes
268,573

 
432,923

 

 
(1,998
)
 
699,498

Other long-term liabilities
4,560

 
71,509

 
20,114

 

 
96,183

Intercompany payable

 
1,228,157

 

 
(1,228,157
)
 

Noncontrolling interests – redeemable

 

 
63,060

 
112,672

 
175,732

Equity:
 

 
 

 
 

 
 

 
 

Total AmSurg Corp. equity
2,293,463

 
3,646,211

 
132,267

 
(3,778,478
)
 
2,293,463

Noncontrolling interests – non-redeemable

 

 
47,584

 
423,700

 
471,284

Total equity
2,293,463

 
3,646,211

 
179,851

 
(3,354,778
)
 
2,764,747

Total liabilities and equity
$
4,980,150

 
$
5,617,855

 
$
405,036

 
$
(4,503,733
)
 
$
6,499,308

Condensed Consolidating Statement of Operations - For the Three Months Ended September 30, 2016 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
8,671

 
$
471,190

 
$
358,955

 
$
(16,600
)
 
$
822,216

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
20,106

 
333,420

 
108,659

 
(904
)
 
461,281

Supply cost

 
1,119

 
46,852

 
(19
)
 
47,952

Other operating expenses
6,367

 
48,186

 
76,052

 
(15,677
)
 
114,928

Transaction costs
8,036

 
8,870

 

 

 
16,906

Depreciation and amortization
1,134

 
22,444

 
8,007

 

 
31,585

Total operating expenses
35,643

 
414,039

 
239,570

 
(16,600
)
 
672,652

Net gain on disposals and deconsolidations

 
3,598

 
546

 

 
4,144

Equity in earnings of unconsolidated affiliates
79,314

 
67,427

 

 
(142,296
)
 
4,445

Operating income
52,342

 
128,176

 
119,931

 
(142,296
)
 
158,153

Interest expense (income), net
(6,948
)
 
39,069

 
794

 

 
32,915

Earnings before income taxes
59,290

 
89,107

 
119,137

 
(142,296
)
 
125,238

Income tax expense
19,336

 
9,802

 
520

 

 
29,658

Net earnings
39,954

 
79,305

 
118,617

 
(142,296
)
 
95,580

Less net earnings (loss) attributable to noncontrolling interests

 
(8
)
 
55,634

 

 
55,626

Net earnings attributable to AmSurg Corp. shareholders
39,954

 
79,313

 
62,983

 
(142,296
)
 
39,954

Preferred stock dividends
(2,264
)
 

 

 

 
(2,264
)
Net earnings attributable to AmSurg Corp. common shareholders
$
37,690

 
$
79,313

 
$
62,983

 
$
(142,296
)
 
$
37,690


Condensed Consolidating Statement of Operations - For the Nine Months Ended September 30, 2016 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
24,915

 
$
1,324,062

 
$
993,614

 
$
(37,198
)
 
$
2,305,393

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
66,447

 
948,173

 
261,683

 
(1,172
)
 
1,275,131

Supply cost

 
3,271

 
141,399

 
(52
)
 
144,618

Other operating expenses
20,019

 
135,738

 
213,972

 
(35,974
)
 
333,755

Transaction costs
10,312

 
13,119

 

 

 
23,431

Depreciation and amortization
3,309

 
63,972

 
23,430

 

 
90,711

Total operating expenses
100,087

 
1,164,273

 
640,484

 
(37,198
)
 
1,867,646

Net gain on disposals and deconsolidations

 
6,455

 
284

 

 
6,739

Equity in earnings of unconsolidated affiliates
236,056

 
201,802

 

 
(419,483
)
 
18,375

Operating income
160,884

 
368,046

 
353,414

 
(419,483
)
 
462,861

Interest expense (income), net
(13,982
)
 
107,573

 
2,047

 

 
95,638

Earnings before income taxes
174,866

 
260,473

 
351,367

 
(419,483
)
 
367,223

Income tax expense
57,980

 
24,434

 
1,406

 

 
83,820

Net earnings
116,886

 
236,039

 
349,961

 
(419,483
)
 
283,403

Less net earnings (loss) attributable to noncontrolling interests

 
(15
)
 
166,532

 

 
166,517

Net earnings attributable to AmSurg Corp. shareholders
116,886

 
236,054

 
183,429

 
(419,483
)
 
116,886

Preferred stock dividends
(6,792
)
 

 

 

 
(6,792
)
Net earnings attributable to AmSurg Corp. common shareholders
$
110,094

 
$
236,054

 
$
183,429

 
$
(419,483
)
 
$
110,094


Condensed Consolidating Statement of Operations - For the Three Months Ended September 30, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
5,975

 
$
339,484

 
$
314,382

 
$
(9,614
)
 
$
650,227

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
17,642

 
231,769

 
78,249

 
(128
)
 
327,532

Supply cost

 
476

 
45,182

 
(20
)
 
45,638

Other operating expenses
7,054

 
34,742

 
66,522

 
(9,466
)
 
98,852

Transaction costs
270

 
1,837

 

 

 
2,107

Depreciation and amortization
1,017

 
14,906

 
8,183

 

 
24,106

Total operating expenses
25,983

 
283,730

 
198,136

 
(9,614
)
 
498,235

Net gain on disposals and deconsolidations

 
9,112

 

 

 
9,112

Equity in earnings of unconsolidated affiliates
96,232

 
64,423

 

 
(155,720
)
 
4,935

Operating income
76,224

 
129,289

 
116,246

 
(155,720
)
 
166,039

Interest expense, net
11,766

 
17,845

 
631

 

 
30,242

Earnings before income taxes
64,458

 
111,444

 
115,615

 
(155,720
)

135,797

Income tax expense
21,797

 
15,210

 
511

 

 
37,518

Net earnings
42,661

 
96,234

 
115,104

 
(155,720
)

98,279

Less net earnings attributable to noncontrolling interests

 

 
55,618

 

 
55,618

Net earnings attributable to AmSurg Corp. shareholders
42,661

 
96,234

 
59,486

 
(155,720
)
 
42,661

Preferred stock dividends
(2,264
)
 

 

 

 
(2,264
)
Net earnings attributable to AmSurg Corp. common shareholders
$
40,397

 
$
96,234

 
$
59,486

 
$
(155,720
)
 
$
40,397


Condensed Consolidating Statement of Operations - For the Nine Months Ended September 30, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
20,145

 
$
954,642

 
$
915,791

 
$
(27,956
)
 
$
1,862,622

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
50,796

 
671,988

 
227,703

 
(380
)
 
950,107

Supply cost

 
1,361

 
132,705

 
(54
)
 
134,012

Other operating expenses
19,471

 
106,452

 
196,023

 
(27,522
)
 
294,424

Transaction costs
862

 
4,698

 

 

 
5,560

Depreciation and amortization
2,907

 
43,830

 
23,799

 

 
70,536

Total operating expenses
74,036

 
828,329

 
580,230

 
(27,956
)
 
1,454,639

Net gain (loss) on disposals and deconsolidations

 
5,889

 
(35
)
 

 
5,854

Equity in earnings of unconsolidated affiliates
233,362

 
183,519

 

 
(405,306
)
 
11,575

Operating income
179,471

 
315,721

 
335,526

 
(405,306
)
 
425,412

Interest expense, net
35,630

 
53,223

 
1,818

 

 
90,671

Earnings before income taxes
143,841

 
262,498

 
333,708

 
(405,306
)
 
334,741

Income tax expense
46,467

 
29,134

 
1,359

 

 
76,960

Net earnings
97,374

 
233,364

 
332,349

 
(405,306
)
 
257,781

Less net earnings attributable to noncontrolling interests

 

 
160,407

 

 
160,407

Net earnings attributable to AmSurg Corp. shareholders
97,374

 
233,364

 
171,942

 
(405,306
)
 
97,374

Preferred stock dividends
(6,792
)
 

 

 

 
(6,792
)
Net earnings attributable to AmSurg Corp. common shareholders
$
90,582

 
$
233,364

 
$
171,942

 
$
(405,306
)
 
$
90,582


Condensed Consolidating Statement of Cash Flows - For the Nine Months Ended September 30, 2016 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Cash flows from operating activities:
 

 
 
 
 
 
 
 
 
Net cash flows provided by operating activities
$
79,353

 
$
226,593

 
$
389,490

 
$
(344,346
)
 
$
351,090

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
(296,689
)
 
(356,205
)
 

 
301,158

 
(351,736
)
Acquisition of property and equipment
(3,019
)
 
(35,450
)
 
(25,538
)
 

 
(64,007
)
Increase in cash due to consolidation of previously unconsolidated affiliates

 

 
31,412

 

 
31,412

Purchases of marketable securities

 

 
(498
)
 

 
(498
)
Maturities of marketable securities

 

 
2,987

 

 
2,987

Other, net

 
(2,217
)
 
(4,271
)
 

 
(6,488
)
Net cash flows provided by (used in) investing activities
(299,708
)
 
(393,872
)
 
4,092

 
301,158

 
(388,330
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
423,000

 

 
7,006

 

 
430,006

Repayment on long-term borrowings
(204,525
)
 
(14
)
 
(9,729
)
 

 
(214,268
)
Distributions to owners, including noncontrolling interests

 
(153,119
)
 
(363,302
)
 
344,346

 
(172,075
)
Capital contributions

 
296,689

 

 
(296,689
)
 

Changes in intercompany balances with affiliates, net
(5,621
)
 

 
5,621

 

 

Other, net
(9,078
)
 
3,503

 
3,019

 
(4,469
)
 
(7,025
)
Net cash flows provided by (used in) financing activities
203,776

 
147,059

 
(357,385
)
 
43,188

 
36,638

Net increase (decrease) in cash and cash equivalents
(16,579
)
 
(20,220
)
 
36,197

 

 
(602
)
Cash and cash equivalents, beginning of period
20,437

 
27,507

 
58,716

 

 
106,660

Cash and cash equivalents, end of period
$
3,858

 
$
7,287

 
$
94,913

 
$

 
$
106,058


Condensed Consolidating Statement of Cash Flows - For the Nine Months Ended September 30, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Cash flows from operating activities:
 

 
 
 
 
 
 
 
 
Net cash flows provided by (used in) operating activities
$
(20,702
)
 
$
313,286

 
$
368,391

 
$
(233,773
)
 
$
427,202

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
(29,157
)
 
(236,107
)
 

 
31,774

 
(233,490
)
Acquisition of property and equipment
(5,659
)
 
(15,418
)
 
(25,929
)
 

 
(47,006
)
Purchases of marketable securities

 

 
(1,743
)
 

 
(1,743
)
Maturities of marketable securities

 

 
4,233

 

 
4,233

Other, net

 
(779
)
 
(3,195
)
 

 
(3,974
)
Net cash flows used in investing activities
(34,816
)
 
(252,304
)
 
(26,634
)
 
31,774

 
(281,980
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings

 

 
10,197

 

 
10,197

Repayment on long-term borrowings
(6,525
)
 

 
(9,212
)
 

 
(15,737
)
Distributions to owners, including noncontrolling interests

 
(59,616
)
 
(332,301
)
 
233,773

 
(158,144
)
Capital contributions

 
29,157

 

 
(29,157
)
 

Changes in intercompany balances with affiliates, net
524

 

 
(524
)
 

 

Other, net
(4,102
)
 
2,653

 
1,871

 
(2,617
)
 
(2,195
)
Net cash flows used in financing activities
(10,103
)
 
(27,806
)
 
(329,969
)
 
201,999

 
(165,879
)
Net increase (decrease) in cash and cash equivalents
(65,621
)
 
33,176

 
11,788

 

 
(20,657
)
Cash and cash equivalents, beginning of period
134,351

 
23,471

 
50,257

 

 
208,079

Cash and cash equivalents, end of period
$
68,730

 
$
56,647

 
$
62,045

 
$

 
$
187,422